outside front cover
COLORADO DEPARTMENT
OF TRANSPORTATION
PRE AND POST TRIP
VEHICLE INSPECTION REPORT
Month:
Year:
Vehicle number:
CDOT Form #864
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print on tuck in flap
Instructions
DRIVERS: In those instances where a vehicle is driven by more than one driver in a twenty-four (24) hour period (eg. a snowplow being used all day), the following procedure should be adhered to: The driver whose shift is the first to start during that day
(this is, after 12:01 AM) should complete the T PRE-TRIP inspection at the beginning of their shift, and the P POST TRIP at the
end of that shift. A NEW form must be completed for each shift change that occurs.
All drivers should indicate any problems they notice with the vehicle in both the T PRE-TRIP and P POST TRIP section of the
inspection report, and initial any box they check. If necessary for clarification, put comments in the Remarks area regarding the nature of the defect, and whether that defect would be likely to affect the safe operation of the vehicle. The driver
shall complete the Pre & Post Trip Vehicle Inspection Report and sign and date the report.
(1) CDOT or their agent(s) shall certify on the report(s) that lists any defect(s) or deficiency(s) that the defect(s) or deficiency(s)
were corrected or that correction is unnecessary before the vehicle is operated.
(2) CDOT Field Offices shall retain the original copy of each vehicle inspection report and the certification of repairs for at least
3 months from the date the report was prepared.
(3) A legible copy of the last vehicle inspection report, certified if required, shall be carried in the vehicle.
MECHANICS: When the driver(s) identify defects, the mechanic must determine whether the defect(s) will cause a “vehicle outof-service” condition.
a. If the mechanic determines that the defect(s) need not be corrected for the safe operation of the vehicle, then the
mechanic will indicate this on the form and sign and date the report.
b. If the mechanic determines that the defect(s) need repair before safe vehicle operation, then the mechanic will
place the vehicle “Out-of-Service”, make appropriate repairs, and sign and date the report.
Exemption. The rules in this section shall not apply to driveaway-towaway operations as specified in Sec. 396.15, or to
any motor carrier operating only one vehicle
Regulations... (Minimum requirements)
Sec 396.11 Driver vehicle inspection report(s)
(a) Report required. Every motor carrier shall require its drivers to report, and every driver shall prepare in writing at the completion of each day’s work on each vehicle operated and the report shall cover at least the following parts and accessories:
Service brakes including trailer brake connections
Parking (hand) brake
Steering mechanism
Lighting devices and reflectors
Tires
Emergency equipment
Horn
Windshield wipers
Rear vision mirrors
Coupling devices
Wheels and rims
(b) Report content. The report shall identify the motor vehicle and list any defect or deficiency discovered by or reported to
the driver, which would affect safety of operation of the motor vehicle or result in its mechanical breakdown. If no defect or
deficiency is discovered by or reported to the driver, the report(s) shall so indicate. In all instances, the driver shall sight the
vehicle inspection report. On two-driver operations, only one driver needs to sign the report, provided both drivers agree as
to the defects or deficiencies. If a driver operates more than one vehicle during the day, a report shall be prepared for each
vehicle operated.
(c) Corrective action. Prior to operating a motor vehicle, motor carriers or their agent(s) shall effect repair of any items listed
on the vehicle inspection report(s)
396.13 Driver inspection
Before driving a motor vehicle, the driver shall:
(a) Be satisfied that the motor vehicle is in safe operating condition;
(b) Review the last vehicle inspection report required to be carried on the power unit; and
(c) Sign the report, only if defects or deficiencies were noted by the driver who prepared the report, to acknowledge that the
driver has reviewed in and that there is a certification that the required repairs have been performed. The signature requirement does not apply to listed defects on a towed unit, which is no longer part of the vehicle combination.
CDOT Form #864
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COLORADO DEPARTMENT OF TRANSPORTATION
DRIVER’S VEHICLE INSPECTION REPORT
In compliance with 49CFR 396.11&13 of the Federal Motor Carrier Safety Regulations
Carrier:
Colorado Department of Transportation
Address:
Zip code:
City:
q PRE-TRIP
Date:
Time:
Odometer reading (miles):
m POST TRIP
Date:
Time:
Ending mileage:
Starting mileage:
Check any defective item and give details under “Remarks”. Check the q for Pre-Trip, and the m for Post Trip inspection.
Bold items are red tag offenses recognized by FMCSR; repair before using vehicle.
A. Tractor/Truck number:
Vehicle preview
q m Begin with a walk around using the previous Post Trip inspection
Engine
q m Fluid leaks
q m All fluid levels
q m Battery
q m Transmission
q m Radiator
q m Engine
q m Starter
Cab
q m Oil pressure
q m Clutch
q m Fire extinguisher
q m Windshield
q m Dash lights
q m First aid kit
q m Windows
q m Wiper blades
q m Mirrors
q m Horn
q m Spare bulbs & fuses q m All instrument gauges
q m Triangles/flags/flares q m Heater/Defroster q m Seatbelts
Walk-around
qm
qm
qm
qm
Body
Fuel tanks
Tires
Lug nuts
Steps, handles
Rear end
Suspension system
Exhaust system
q m Back-up alarm
q m Tire chains
q m Muffler
q m Front axle
qm
qm
qm
qm
q m Warning lights
q m Reflectors
qm
qm
qm
qm
Coupling devices
Fluid leaks
Drive line
Frame & assembly
q m Mud flaps
q m Tarpaulin
q m Wheels and rims
q m Steering Mechanism
Lights
q m Brake lights
q m Head lights
q m Turn signals
Brake system
q m Brake accessories
q m Air lines
q m Brake lining thickness ________________
q m Other:
q m Parking brakes
q m Air compressor
q m Service brake
q m Slack adjuster travel measurements ________________
B. Trailer(s) number(s):
qm
qm
qm
qm
Brake connections
Hitch
Suspension system
Attenuator bolts
qm
qm
qm
qm
Starting mileage (from hub):
Brakes
Landing gear
Wheels and rims
Attenuator pins
qm
qm
qm
qm
Tires
Lights - all
Lug nuts
Other:
q m Coupling device
q m Doors
q m Roof
q m Tarpaulin
q m Coupling (king) pin
C. Aerial device - inspection of vehicle component is accomplished in the “Tractor/Truck” section:
qm
qm
qm
qm
Fluid leaks
q m Fasteners
q m All fluid levels
Outriggers
q m Hydraulic system
q m Retaining pins
Fiberglass extension q m Safety belts & straps
Test bucket lift controls
q m Other:
q m Power take-off
q m Liner
q m Welds
q m Bucket
q m Test ground controls
Remarks:
q m CONDITION OF THE ABOVE VEHICLE IS SATISFACTORY
Pre-trip driver’s printed name:
Post trip driver’s printed name:
Pre-trip driver’s signature:
Post trip driver’s signature:
q m ABOVE DEFECTS NEED NOT BE CORRECTED FOR SAFE OPERATION OF THE VEHICLE
q m ABOVE DEFECTS CORRECTED
Mechanic’s signature:
White - File copy
Yellow - Driver’s copy
Date:
Driver’s signature:
Date:
CDOT Form #864
5/13